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The Adventures Last A Summer, The Memories Last A Lifetime... (818) 706-8255 ~ (805) 523-7711
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Your completion of the on-line Camper Health Form does NOT require a visit to your pediatrician.
All campers are required to have a completed Camper Health Form on file in order to attend camp. We are using a new on-line form to provide you with easiest, most efficient and accurate means by which to provide us with important information about your camper(s). The new form saves you time by requiring the entry of information common to all campers in the same family only once (emergency contacts, pediatrician etc.).
Families with more than 1 camper......Please note:
After you have entered your first camper, do NOT click the "Submit" button. Rather, click the "Add another camper" button. Do this until you have completed the form for each camper. Only click the "Submit" button after you have completed the data for all of your campers. In this way, you will only need to enter family information such as pediatrician, emergency contacts etc. one time for your family.
Please call us if you need assistance. (818) 706-8255!
Returning Families That Submitted Paper Applications, CLICK HERE
New and Returning Families That Submitted On-Line Applications, CLICK HERE
Families with more than 1 camper......Please note:
After you have entered your first camper, do NOT click the "Submit" button. Rather, click the "Add another camper" button. Do this until you have completed the form for each camper. Only click the "Submit" button after you have completed the data for all of your campers. In this way, you will only need to enter family information such as pediatrician, emergency contacts etc. one time for your family.
New and Returning Families That Submitted On-Line Applications, CLICK HERE
1.) The first step in completing the on-line Camper Health Form is the creation of a family account. To do so, you will be asked to create the following two items:
Username: This can be anything that you choose. Some families use their email address because it is easy to remember.
Password: Passwords must be 5-10 characters in length and are case sensitive.
2.) Because this is the first time that you are accessing the on-line system, it is necessary to provide basic family information that will then remain in the system for future use. We recognize that this information duplicates some of the information that was pre-printed on your application. However, because this is the first year that we are using this on-line system, it is necessary for all returning families to take the extra few minutes necessary to provide this basic information.
3.) As you complete your form, Click on "Next" at least every 7-8 minutes. This will save the data that you have entered so far. Then click your back button to go back to the page and continue with any information that you may not have yet completed. The system allows up to approximately 10 minutes on each screen. Clicking on "Next" and then your "Back" button provides you with a new 10 minutes to complete the data on the current screen. Each time you click "Next", data that you have entered to that point is saved. by the system.
You will need the following information to complete and submit your form(s). We suggest that you have this information in front of you before you continue.
- Are Polio and MMR immunizations current? (Yes or No)
- The actual month and year of the last tetanus shot or DPT?
- The names and at least one phone number (cell/work/home) of two emergency contacts that camp should try to reach if we cannot reach you or your spouse in the event of an emergency?
- The first and last names of people who may pick up your camper(s) from camp or the bus stop in your absence? Commonly parents provide us with the names of relatives and/or the mother of one of their camper's friends. This is ideal, and we've learned from experience to ask for one more thing. If you are listing one parent of your camper's friend, please list both of his/her parents because sometimes the unexpected parent is called upon to pick up and if they (usually dads) are not specifically listed on your release list, we cannot assume that you give that person permission. (The same is true of aunts, uncles, grandparents etc. Please always list both.)
If you're ready to get started, simply click the button below.
1.) Once you click the button below, you will be taken to the log-in page that you created when you submitted your original application. You will be asked for your Username & Password. As a reminder, you may have chosen to use your email address as your unique Username.
2.) During the process of completing your on-line Camper Health Form, you will have the chance to review some of your original information. Please take a minute to confirm that you have typed phone numbers and email addresses correctly.
3.) As you complete your form, Click on "Next" at least every 7-8 minutes. This will save the data that you have entered so far. Then click your back button to go back to the page and continue with any information that you may not have yet completed. The system allows up to approximately 10 minutes on each screen. Clicking on "Next" and then your "Back" button provides you with a new 10 minutes to complete the data on the current screen. Each time you click "Next", data that you have entered to that point is saved. by the system.
You will need the following information to complete and submit your form(s). We suggest that you have this information in front of you before you continue.
- Are Polio and MMR immunizations current? (Yes or No)
- The actual month and year of the last tetanus shot or DPT?
- The names and at least one phone number (cell/work/home) of two emergency contacts that camp should try to reach if we cannot reach you or your spouse in the event of an emergency?
- The first and last names of people who may pick up your camper(s) from camp or the bus stop in your absence? Commonly parents provide us with the names of relatives and/or the mother of one of their camper's friends. This is ideal, and we've learned from experience to ask for one more thing. If you are listing one parent of your camper's friend, please list both of his/her parents because sometimes the unexpected parent is called upon to pick up and if they (usually dads) are not specifically listed on your release list, we cannot assume that you give that person permission
If you're ready to get started, simply click the button below.




